眼轮匝肌瓣在下睑袋伴沟槽畸形修复术中的应用

Clinical application of orbicularis flap for eyelid groove deformity

目的探讨下睑袋伴明显泪槽和睑颊沟凹陷畸形的矫正方法和效果。方法采取下睑缘切口，在眼轮匝肌深面分离，显露眶隔及眶下缘骨膜，将眶隔脂肪释放，重置于眶下缘下方与骨膜缝合固定：若填充效果仍不满意，可将多余眼轮匝肌设计成内侧蒂的眼轮匝肌瓣，转移填充于沟槽凹陷畸形处，并缝合固定。结果本组60例，术后无下睑凹陷和不平整现象。所有患者均获3～12个月随访，见泪槽及睑颊沟均矫正良好，下睑袋消失。结论眼轮匝肌瓣联合眶隔脂肪转移重置．对矫正伴有沟槽畸形的下睑袋。是一种简单有效的好方法。

Objective To discuss the correction of lower baggy eyelid with severe tear trough anti eyelid sule.us （ groove deformity） and its therapeutic effect. Methods Through incision at the lower eyelid margin, the dissection was performed at the deep surface of the orbicularis muscle to expose the orbital septum and inferior orbital rim periosteum. The orbital fat which was released from orbital septum was repositioned at the inferior orbital rim and fixed on periosteum. If the depression was not completely corrected, the extra orbicularis fixed with periosteum. If the depression was not completely corrected, the extra orbieularis muscle was designed as muscle flap with interior pedicle to further correct the groove deformity. Results 60 cases were treated with no depression or unsmooth deformity. All the eases were followed up for 3 - 12 months with satisfactory aesthetic effect. Conclusions Orbicularis flap combined with orbilal fat reposition is a simple and effective method for correction of tear trnugh anti eyelid sulcus deformity.